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The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance products.
Successful implementations of EDI take into account the effect externally generated information will have on their internal systems and validate the business information received. For example, allowing a supplier to update a retailer's accounts payable system without appropriate checks and balances would put the company at significant risk.
Generic Bootstrapping Architecture (GBA) is a technology that enables the authentication of a user. This authentication is possible if the user owns a valid identity on an HLR ( Home Location Register ) or on an HSS ( Home Subscriber Server ).
Healthcare Provider Information 275 Patient Information 276 Health Care Claim Status Request 277 Health Care Information Status Notification 278 Health Care Services Review Information 362 Cargo Insurance Advice of Shipment 500 Medical Event Reporting 834 Benefit Enrollment and Maintenance 835 Health Care Claim Payment/Advice 837 Health Care Claim
An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. The explanations include the denial codes and the descriptions, which present at the ...
Enhanced Direct Enrollment (EDE) is a provision in the United States that allows certain private entities, including insurance carriers and web-brokers, to directly enroll consumers in Qualified Health Plans through the Health Insurance Marketplace without redirecting consumers to Healthcare.gov. Approved EDE partners may access a suite of APIs which allow them to directly submit and update ...
An electronic data interchange personal identifier, or EDIPI, is a number assigned to a record in the United States Department of Defense's Defense Enrollment and Eligibility Reporting System (DEERS) database. A record in the DEERS database is a person plus personnel category (e.g. contractor, reservist, civilian, active duty, etc.).
An end-user license agreement or EULA (/ ˈ j uː l ə /) is a legal contract between a software supplier and a customer or end-user. The practice of selling licenses to rather than copies of software predates the recognition of software copyright , which has been recognized since the 1970s in the United States.